Peripheral artery disease: Diagnosis and management in general practice

Au, Thuy Bich, Golledge, Jonathan, Walker, Philip J., Haigh, Kate and Nelson, Mark (2013) Peripheral artery disease: Diagnosis and management in general practice. Australian Family Physician, 42 6: 397-400.

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Name Description MIMEType Size Downloads
Author Au, Thuy Bich
Golledge, Jonathan
Walker, Philip J.
Haigh, Kate
Nelson, Mark
Title Peripheral artery disease: Diagnosis and management in general practice
Journal name Australian Family Physician   Check publisher's open access policy
ISSN 0300-8495
Publication date 2013-06
Sub-type Article (original research)
Volume 42
Issue 6
Start page 397
End page 400
Total pages 4
Place of publication South Melbourne, VIC, Australia
Publisher Royal Australian College of General Practitioners
Collection year 2014
Language eng
Formatted abstract
Peripheral arterial disease (PAD) is a manifestation of systemic atherosclerosis. It affects 10–15% of the general population, and is often asymptomatic; leading to under-diagnosis and under-treatment. Atherosclerotic risk factors are often not intensively managed in PAD patients.
To summarise the information around the diagnosis and management of PAD in the general practice setting.
Careful history, clinical examination, and measurement of ankle-brachial index remain the initial means of diagnosing PAD. More detailed anatomic information from duplex imaging, computed tomography angiography and magnetic resonanceangiography, is usually unnecessary unless endovascular or surgical intervention is being considered, or if abdominal aortic aneurysm or popliteal aneurysm need to be excluded. Management is focused on lifestyle modification, including smoking cessation and exercise; medical management of atherosclerotic risk factors, including antiplatelet agents, statins, antihypertensive therapy; and agents to improve walking distance, such as cilostazol and ramipril. Endovascular or surgical interventions are usually considered for lifestyle limiting intermittent claudication not responding to conservative therapies, and for critical limb ischaemia.
Q-Index Code CX
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: UQ Centre for Clinical Research Publications
School of Medicine Publications
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Citation counts: TR Web of Science Citation Count  Cited 2 times in Thomson Reuters Web of Science Article | Citations
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Created: Fri, 07 Jun 2013, 16:51:43 EST by Professor Philip Walker on behalf of Surgery - Royal Brisbane and Women's Hospital